Individual
TY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 15TH AVE S, GREAT FALLS, MT 59405-4324
(406) 498-2590
Mailing address
225 2ND ST NW, GREAT FALLS, MT 59404-1301
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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